JEFF ROBERT STEPHENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138073

License Status

NOT RENEWED

Business

First Name

JEFF

Middle

ROBERT

Last Name

STEPHENS

Business Name

JEFF ROBERT STEPHENS

Original Issue Date

09/10/2001

Effective Date

09/10/2001

Expiration Date

03/31/2004

City

TEUTOPOLIS

State

Zip

62467

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/20/2005